"How?"

"Yang Lili's test sheet looks pretty good. Su Yun said with a smile.

One night, I finally saw a heartfelt smile on his face.

Zheng Ren hurriedly came over, and when Shay saw that Zheng Ren was in trouble, he went back to the operating room and went to see the golden retriever named Harry with love.

Taking Su Yun's mobile phone, Zheng Ren enlarged the test sheet and looked at them one by one.

Kidney function has basically recovered, and urea nitrogen and creatinine have dropped to a level slightly above the upper limit of normal.

Liver function aminotransferases have also dropped to about 100, acute liver injury, can recover so quickly, Zheng Ren is also very happy.

The blood clotting value is particularly optimistic, and it is almost completely back to normal, which is the most important thing.

Blood gas analysis and other laboratory indicators also show that the vitality in Yang Lili's body is rejuvenated.

"Not bad!" Zheng Ren patted Su Yun's shoulder vigorously.

For two days in a row, Su Yun was tired into a dog...... It seems that now the dogs don't have to be so tired.

finally pulled Yang Lili back from the line of death.

"Of course, it has to be flawless. Su Yun said with a smile.

"I'm going to try extubation tomorrow?" asked Zheng Ren.

"Well, but try it, if you can do it without a tracheotomy, try not to use it. You don't know how fierce Acinetobacter baumannii is in the ICU, as long as the tracheostomy is opened, it basically doesn't run. ”

"Then you should go back and rest early, it's been a hard few days. ”

Suddenly, the tiredness on Su Yun's face was swept away, and it was replaced by a gossipy look.

"Boss, have you pushed it down?" asked Su Yun in a low voice.

"......" Zheng Ren wanted to scold.

"Holding hands counts. Su Yun was full of hope.

“……”

"Forget it, you know you're a coward, take your time. Seeing Zheng Ren's appearance, Su Yun knew that it was the same as he expected, and sighed.

"I went to live at her house. Zheng Rendao.

"......" Su Yun's eyes were full of exclamation points!

"It's just another house. ”

"Cut ......"

"Don't blame me, we went to the movies together today, and I received a call from the emergency department. Zheng Ren was also helpless.

Spread your hands.

"Take your time, I'll tell you, such a good girl, don't miss it. Su Yun's face was full of exhaustion again, and he sighed and said, "I'll go back to sleep." ”

"Sending you?"

"There are no cars on the road, I drive slowly, it's fine. Su Yun staggered out, Zheng Ren was really worried that he would fall down at any time and fall asleep.

"By the way, the expert fee for this operation, find time for you, don't worry. Su Yun raised his hand, and after speaking, he walked out of the Migou house and disappeared into the night.

"Boss Zheng, you are amazing. Shen Xiaoou said with a smile on the side.

"......" Zheng Ren didn't know how to answer again, he was not familiar with Shen Xiaoou, and people praised themselves, so they should be polite. But what to say?

"The person introduced by Brother Yun is really powerful. Shen Xiaoou continued: "Harry has seen it in the provincial capital, and he said that there is no way, and the mortality rate of surgery is as high as 90%. ”

"Oh, vets don't do surgery. Zheng Ren casually mapped the cannon, and he didn't know how many people he had offended.

There was something wrong with the eyes of the employees who were still busy in the dog house.

Shen Xiaoou said: "This kind of surgery is indeed rarely done by veterinarians, and there is little experience in postoperative care. As you know, the veterinary industry is still a new industry, and it is a blue ocean. ”

Zheng Ren has no interest in this.

"Can you leave your contact information?" Shen Xiaoou asked tentatively.

"No need, just find Su Yun if you have something. Zheng Ren refused directly, not interested at all.

The smile on Shen Xiaoou's face stiffened slightly.

This refusal is really happy.

Beckoning Shay and Chu Yanzhi to leave, he chatted all night, and was somewhat tired.

The three of them found a casual shop and ate a mouthful of food, which was considered a supper.

After dinner, the three of them drove two cars to Shay's house.

Because of Chu Yan's presence, the hug that Zheng Ren envisioned was gone. Shay is thin-skinned, and he really doesn't look like a girl of this era.

Saying goodbye and going back, Zheng Ren put a jar of water in accordance with Shay's request and took a comfortable bath.

I chatted with the Shay people for nearly an hour before I went to sleep.

……

The next day, the sun was shining.

It's a new day.

Zheng Ren is thinking about the work he has to do today, doing ward rounds and seeing patients, which is a must.

The next thing is to go to the ICU to see Yang Lili, it is indeed a miracle that the girl can be saved.

Patients who have undergone TIPS surgery in the Department of Gastroenterology and have no symptoms of hepatic encephalopathy should also undergo second-stage surgery and have the retrievable stent removed.

In this way, the outflow tract is guaranteed to be patency and the radius is increased, which ensures that there is no fundic venous bleeding.

Orthopedic lumbar spondylectomy surgery, there should be no time to see. Jung In has a little hobby in orthopedics, but not to the point where he is desperate to observe surgery.

I figured everything out, had breakfast, and came to the hospital.

Director Pan inquired about the situation of the patients who were automatically discharged from the hospital yesterday, scolded a few words in a low voice, and then began to hand over shifts and make ward rounds.

After all of them were over, Zheng Ren went to the gastroenterology department first.

When Director Xia saw Zheng Ren arrive, he took a junior doctor to the rescue room.

The junior doctor reported the recent situation, and the patient recovered very well after surgery, the hematemesis was long gone, and there was no hepatic encephalopathy. Blood ammonia is slightly high, but acceptable.

Zheng Ren assessed the patient's condition and decided that the retrievable stent could be removed.

Director Xia also agreed with Zheng Ren's judgment, and the two made an appointment for the second phase of surgery early tomorrow morning.

After seeing the postoperative patients, Director Xia said, "Xiao Zheng, your TIPS surgery is doing well. ”

For this kind of straightforward praise, Zheng Ren is basically in a state of not knowing how to deal with it.

"I asked the professor in the imperial capital, and he was also surprised that the TIPS operation in the emergency department is much more difficult than the slow surgery. Director Xia said with a smile: "I also have a patient with stubborn ascites here, you can take a look, if you can, you can do it tomorrow." The patient's condition is relatively serious, and if it drags on any longer, I am afraid that he will not be able to survive for a month. ”

For the praise of the imperial capital professor, Zheng Ren has long been immune.

On the contrary, it was the patient with stubborn ascites that Director Xia said, and Zheng Ren was more interested.

If you want to go further in interventional surgery, you will not make any progress in your life if you do ordinary minor surgery to stop bleeding.

To do it, you have to do a crown jewel such as the TIPS surgery.

Arriving in the ward, a patient with only bones left but a bulging belly was half-sitting on the hospital bed.

Because of the large amount of ascites, it was a little difficult for him to breathe.

With each breath, the supraclavicular fossa and suprasternal fossa deflat.

Zheng Ren knew that this was not a three-recessed sign, but a symptom of dyspnea caused by the pressure of ascites pushing up the diaphragm and preventing the lungs from fully opening.

In the upper right corner of the field of view, the system panel also gives a diagnosis.